The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . a littleover 10 per cent. Total number of cases, 108. Recovered, with very good ute of limb, 45, or per cent. Recovered, with good use of limb, 23, or per cent. Recovered, with fair use of limb, 6, or per cent. Recovered, but with failure as regards use of limb, 10, or per cent. Recovered, but uncertain as regards use of limb, 12, or per cent. Result undetermined, 1, or per cent. Died, 11, or Of 31 cases of tarsal excision for gunshot injury, tabulated by


The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . a littleover 10 per cent. Total number of cases, 108. Recovered, with very good ute of limb, 45, or per cent. Recovered, with good use of limb, 23, or per cent. Recovered, with fair use of limb, 6, or per cent. Recovered, but with failure as regards use of limb, 10, or per cent. Recovered, but uncertain as regards use of limb, 12, or per cent. Result undetermined, 1, or per cent. Died, 11, or Of 31 cases of tarsal excision for gunshot injury, tabulated by Drs. Otisand Huntington,^ 25 recovered and 5 ended fatally ( per cent.), the resultin one instance being undetermined. Excisions of the Metatarsal Bones.—The bones of the metatarsus mayrequire excision in cases of caries or necrosis, and in some cases of compoundfracture, usually as the result of gunshot injury. The lines of incision mustbe mainly decided by the position of existing sinuses, but it may be saidgenerally that, for the first metatarsal (Fig. 752), the incision should be Fig. Excision of metatarsal bone of great toe. placed on the inner side of the foot, and for the fifth on the outer side, whilethe others may be approached from the dorsum. These operations, as those on • American .lounial of the Medical Sciences, Oct. Op. cit. Tliiril Surgical Volume, page 622. EXCISION OF THE TOES. 533 the carpus, may be much facilitated by previously rendering the [)art blood-less by Esmarchs method, the wound after the operation being stufted withoiled lint, and a compress and firm bandage being ap[ilied before the removalof the restraining tube. Of 57 cases of metatarsal excision tabulated by and Huntington, 4G ended in recovery and 8 in death, the result in 3being undetermined. The mortality of terminated cases was thus less than15 per cent. Excision of the Metatarso-phalangeal Joints. — The articulationsbetween the metatarsal bones and phalan


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